1.やさしい
A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:
- AAll treatment, including food, drink and pain relief, is stopped
- BThe patient must be moved to a hospice
- CCPR will not be attempted if the heart stops, but other care continues
- DThe patient cannot receive antibiotics, fluids or any other active treatment
2.やさしい
Which structure is the heart's natural pacemaker?
- AThe aorta
- BThe mitral valve in the left side of the heart
- CThe left ventricle
- DThe sinoatrial (SA) node
3.やさしい
After a stroke, a patient has "aphasia". What does this mean?
- AWeakness of one side of the body
- BDifficulty swallowing food, drink and saliva
- CDifficulty understanding or producing language
- DLoss of vision in one eye
4.ふつう
An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?
- AGastric ulcer
- BAppendicitis
- CDiverticulitis
- DBiliary colic
5.ふつう
患者に疝痛性の腹痛、腹部膨満、嘔吐があり、2 日間排便も排ガスもありません。考えられる問題は?
- A胃腸炎
- B過敏性腸症候群
- C合併症のない虫垂炎
- D腸閉塞
6.ふつう
アナフィラキシーの第一選択薬は?
- Aアドレナリンの筋肉注射
- B吸入ステロイド
- C静注のアセトアミノフェン
- Dセチリジンなどの経口抗ヒスタミン薬
7.むずかしい
A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?
- A"I will report it if I need more pillows to sleep."
- B"I will weigh myself each morning after passing urine."
- C"I will take my water tablet in the morning."
- D"I only need to weigh myself once a month."
8.むずかしい
心原性ショックと循環血液量減少性ショックを最もよく区別する所見の組み合わせは?
- A冷たく青白い皮膚
- B頻脈、低血圧、弱くて糸のような末梢脈拍
- C頸静脈圧の上昇と肺の断続性ラ音
- D尿量の減少
解答
- 1. C · CPR will not be attempted if the heart stops, but other care continues
- 2. D · The sinoatrial (SA) node
- 3. C · Difficulty understanding or producing language
- 4. C · Diverticulitis
- 5. D · 腸閉塞
- 6. A · アドレナリンの筋肉注射
- 7. D · "I only need to weigh myself once a month."
- 8. C · 頸静脈圧の上昇と肺の断続性ラ音
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。